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Individual
LESLIE B MICHEL
Active
Individual
LESLIE B MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22925
OK
207R00000X
Internal Medicine Physician
Primary
A108368
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A1083680
BLUE SHIELD PIN
CA
01
—
7623803
AETNA
CA
01
—
A108368
MEDICAL LICENSE
CA
Enumeration date
05/25/2006
Last updated
09/26/2011
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